Vein Access
Vein Access - Related Videos
05:51
Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
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2026
Implantation of a totally implantable venous access port (TIVAP) through the subclavian vein under CT guidance is a highly safe and precise method that can effectively reduce the incidence of complications and facilitate early detection of potential complications.
06:00
Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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2025
We present a laparoscopic technique for anatomic S7+S8d resection with right hepatic vein transection, preserving the inferior right hepatic vein and segment S6. Relying on meticulous anatomical landmarks without intraoperative ultrasound, this approach offers a precise and parenchyma-sparing option for dorsally located right-liver tumors, particularly in settings with limited advanced navigation resources.
05:16
An Ultrasound-Guided Vascular Access Procedure in an Anesthetized Pig
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2026
Source:Rui Cerqueira1,2, Liliana Costa1, André Leite-Moreira1, Adelino Leite-Moreira1,2, André Lourenço1, Pedro Mendes-Ferreira11Department of Surgery and Physiology, Faculty of Medicine of the University of Porto.2Department of Cardiothoracic Surgery, Hospital Universitário de São João.The video demonstrates a procedure for obtaining vascular access in an anesthetized pig using ultrasound guidance. After disinfecting the site and administering local anesthesia, an ultrasound probe is used to...
08:14
Central Venous Catheter Insertion: Subclavian Vein
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2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations for hemodynamic monitoring, medication delivery, and blood sampling. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the femoral vein. Central venous access via the subclavian vein has several advantages over other possible locations. The subclavian...
10:45
Central Venous Catheter Insertion: Femoral Vein
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2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations, including vascular access, vasopressor and caustic medication delivery, central venous pressure monitoring, volume resuscitation, total parental nutrition, hemodialysis, and frequent phlebotomy. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the...
FAQs
Peripheral and central techniques serve different clinical needs, so the choice depends on the intended therapy, sampling requirement, or monitoring purpose. Peripheral access supports access through vessels nearer the body surface, whereas central access is selected when clinical care requires a different type of venous access. Matching the technique to the clinical objective helps improve reliability and safety.
Selecting a suitable vessel influences whether access can be established reliably and maintained without unnecessary tissue injury. Poor selection can contribute to problems such as infiltration, bleeding, thrombosis, or loss of patency. Clinicians therefore consider the vessel and the intended use together, helping align the access site with the therapy, sampling, or monitoring requirement.
Aseptic technique reduces contamination during placement and supports infection prevention. Confirming catheter position helps establish that the device is located appropriately before it is used for therapy, blood products, nutrition, sampling, or monitoring. Together, these safeguards address different risks: one limits infection during access, while the other supports correct device function and placement.
The process begins with identifying a suitable vein and preparing to puncture it using aseptic technique. A needle or other access device enters the vessel, after which a catheter may be advanced while patency is maintained. Clinicians then confirm catheter position and monitor the access, supporting reliable use while reducing tissue injury and other complications.
Vein access supports several clinical tasks, including intravenous fluids, medication delivery, blood products, nutrition, and diagnostic blood sampling. It can also support hemodynamic monitoring, which provides information relevant to a patient’s circulatory status. Because these purposes differ, clinicians select and manage access according to whether the priority is treatment, sampling, nutrition, or monitoring.
Key complications include infection, bleeding, infiltration, thrombosis, tissue injury, and loss of catheter patency. Prevention depends on combining appropriate site selection with aseptic placement, careful catheter advancement, and confirmation of position. Ongoing attention to the access site and device helps preserve reliable function and supports safer delivery of therapies or collection of diagnostic samples.